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WO2010005800A3 - Détection d’un état postural à l’aide de paramètres de commande du système pouvant être sélectionnés - Google Patents

Détection d’un état postural à l’aide de paramètres de commande du système pouvant être sélectionnés Download PDF

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Publication number
WO2010005800A3
WO2010005800A3 PCT/US2009/048676 US2009048676W WO2010005800A3 WO 2010005800 A3 WO2010005800 A3 WO 2010005800A3 US 2009048676 W US2009048676 W US 2009048676W WO 2010005800 A3 WO2010005800 A3 WO 2010005800A3
Authority
WO
WIPO (PCT)
Prior art keywords
posture state
patient
posture
system control
state detection
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/US2009/048676
Other languages
English (en)
Other versions
WO2010005800A2 (fr
Inventor
Eric J Panken
Dennis M. Skelton
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Medtronic Inc
Original Assignee
Medtronic Inc
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Medtronic Inc filed Critical Medtronic Inc
Publication of WO2010005800A2 publication Critical patent/WO2010005800A2/fr
Publication of WO2010005800A3 publication Critical patent/WO2010005800A3/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/36514—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
    • A61N1/36542—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by body motion, e.g. acceleration
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Measuring devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb
    • A61B5/1116—Determining posture transitions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/72—Signal processing specially adapted for physiological signals or for diagnostic purposes
    • A61B5/7235—Details of waveform analysis
    • A61B5/7264—Classification of physiological signals or data, e.g. using neural networks, statistical classifiers, expert systems or fuzzy systems
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/3606—Implantable neurostimulators for stimulating central or peripheral nerve system adapted for a particular treatment
    • A61N1/36062—Spinal stimulation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605—Implantable neurostimulators for stimulating central or peripheral nerve system
    • A61N1/36128—Control systems
    • A61N1/36135—Control systems using physiological parameters
    • A61N1/36139—Control systems using physiological parameters with automatic adjustment
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/372—Arrangements in connection with the implantation of stimulators
    • A61N1/37211—Means for communicating with stimulators
    • A61N1/37235—Aspects of the external programmer
    • A61N1/37247—User interfaces, e.g. input or presentation means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/38—Applying electric currents by contact electrodes alternating or intermittent currents for producing shock effects
    • A61N1/39—Heart defibrillators
    • A61N1/3925—Monitoring; Protecting
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2562/00—Details of sensors; Constructional details of sensor housings or probes; Accessories for sensors
    • A61B2562/02—Details of sensors specially adapted for in-vivo measurements
    • A61B2562/0219—Inertial sensors, e.g. accelerometers, gyroscopes, tilt switches
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/103—Measuring devices for testing the shape, pattern, colour, size or movement of the body or parts thereof, for diagnostic purposes
    • A61B5/11—Measuring movement of the entire body or parts thereof, e.g. head or hand tremor or mobility of a limb
    • A61B5/1118—Determining activity level
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/68—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient
    • A61B5/6846—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive
    • A61B5/6847—Arrangements of detecting, measuring or recording means, e.g. sensors, in relation to patient specially adapted to be brought in contact with an internal body part, i.e. invasive mounted on an invasive device
    • A61B5/686—Permanently implanted devices, e.g. pacemakers, other stimulators, biochips
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61N—ELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00—Electrotherapy; Circuits therefor
    • A61N1/18—Applying electric currents by contact electrodes
    • A61N1/32—Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36—Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/362—Heart stimulators
    • A61N1/365—Heart stimulators controlled by a physiological parameter, e.g. heart potential
    • A61N1/36514—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure
    • A61N1/36535—Heart stimulators controlled by a physiological parameter, e.g. heart potential controlled by a physiological quantity other than heart potential, e.g. blood pressure controlled by body position or posture
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H50/00—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics
    • G16H50/20—ICT specially adapted for medical diagnosis, medical simulation or medical data mining; ICT specially adapted for detecting, monitoring or modelling epidemics or pandemics for computer-aided diagnosis, e.g. based on medical expert systems

Landscapes

  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • General Health & Medical Sciences (AREA)
  • Animal Behavior & Ethology (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Cardiology (AREA)
  • Biophysics (AREA)
  • Physiology (AREA)
  • Physics & Mathematics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Radiology & Medical Imaging (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Medical Informatics (AREA)
  • Pathology (AREA)
  • Artificial Intelligence (AREA)
  • Neurology (AREA)
  • Hematology (AREA)
  • Psychiatry (AREA)
  • Signal Processing (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Mathematical Physics (AREA)
  • Dentistry (AREA)
  • Fuzzy Systems (AREA)
  • Evolutionary Computation (AREA)
  • Computer Vision & Pattern Recognition (AREA)
  • Neurosurgery (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Human Computer Interaction (AREA)
  • Electrotherapy Devices (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)
  • Radiation-Therapy Devices (AREA)
  • Apparatus For Radiation Diagnosis (AREA)
  • Information Retrieval, Db Structures And Fs Structures Therefor (AREA)
  • Endoscopes (AREA)

Abstract

La présente invention concerne des techniques permettant de détecter et de classer un état postural d’un patient, un état postural comprenant au moins une posture et/ou un état d’activité lié au mouvement. Dans un mode de réalisation, un ou plusieurs signaux indicateurs d’au moins une posture et d’un état d’activité du patient peuvent être détectés par un capteur. Une logique de commande peut être prévue pour traiter le ou les signaux détectés de façon sélective. Cette façon sélective peut être basée sur des données d’état postural réel décrivant un état postural dans lequel le patient a précédemment été classé. En variante ou en plus, ces données d’état postural réel peuvent décrire une transition d’état postural précédemment vécue par le patient. Le ou les signaux qui sont ainsi traités peuvent ensuite être utilisés pour classer un état postural du patient.
PCT/US2009/048676 2008-07-11 2009-06-25 Détection d’un état postural à l’aide de paramètres de commande du système pouvant être sélectionnés Ceased WO2010005800A2 (fr)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
US8004908P 2008-07-11 2008-07-11
US61/080,049 2008-07-11
US12/433,029 2009-04-30
US12/433,029 US8688225B2 (en) 2008-07-11 2009-04-30 Posture state detection using selectable system control parameters

Publications (2)

Publication Number Publication Date
WO2010005800A2 WO2010005800A2 (fr) 2010-01-14
WO2010005800A3 true WO2010005800A3 (fr) 2010-05-27

Family

ID=41505797

Family Applications (6)

Application Number Title Priority Date Filing Date
PCT/US2009/048686 Ceased WO2010005802A2 (fr) 2008-07-11 2009-06-25 Classification d'états posturaux pour dispositif médical
PCT/US2009/048676 Ceased WO2010005800A2 (fr) 2008-07-11 2009-06-25 Détection d’un état postural à l’aide de paramètres de commande du système pouvant être sélectionnés
PCT/US2009/048852 Ceased WO2010005809A2 (fr) 2008-07-11 2009-06-26 Administration d’un traitement sensible à l’état postural utilisant des temps de maintien
PCT/US2009/049071 Ceased WO2010005822A2 (fr) 2008-07-11 2009-06-29 Classification d'états posturaux mixtes et administration de traitement
PCT/US2009/048995 Ceased WO2010005816A2 (fr) 2008-07-11 2009-06-29 Classification d’état postural pour dispositif médical
PCT/US2009/049184 Ceased WO2010005828A2 (fr) 2008-07-11 2009-06-30 Ajustements du temps de maintien pour traitement sensible à l'état postural

Family Applications Before (1)

Application Number Title Priority Date Filing Date
PCT/US2009/048686 Ceased WO2010005802A2 (fr) 2008-07-11 2009-06-25 Classification d'états posturaux pour dispositif médical

Family Applications After (4)

Application Number Title Priority Date Filing Date
PCT/US2009/048852 Ceased WO2010005809A2 (fr) 2008-07-11 2009-06-26 Administration d’un traitement sensible à l’état postural utilisant des temps de maintien
PCT/US2009/049071 Ceased WO2010005822A2 (fr) 2008-07-11 2009-06-29 Classification d'états posturaux mixtes et administration de traitement
PCT/US2009/048995 Ceased WO2010005816A2 (fr) 2008-07-11 2009-06-29 Classification d’état postural pour dispositif médical
PCT/US2009/049184 Ceased WO2010005828A2 (fr) 2008-07-11 2009-06-30 Ajustements du temps de maintien pour traitement sensible à l'état postural

Country Status (4)

Country Link
US (9) US9545518B2 (fr)
EP (5) EP2656787B1 (fr)
CN (2) CN102089032B (fr)
WO (6) WO2010005802A2 (fr)

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US20180071536A1 (en) 2018-03-15
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US20100010390A1 (en) 2010-01-14
CN102137623A (zh) 2011-07-27
US20100010380A1 (en) 2010-01-14
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